High School Retreat Registration Personal InformationName* First Last Retreat Date*Which retreat will you attend?November 1 - 3February 21 - 23March 7 - 8Cell Phone NumberPhone Number of Parent (emergency use only)*Student Email Address* Parent Email Address* EducationSchool*Year in School*FreshmanSophomoreJuniorSeniorMiscellaneousDo you need a ride to the retreat and back?*We will have a van driving from Sauganash to the retreat and back. Yes No Reference*Who recommended this retreat to you?Payment*The full cost of the retreat is $125. I plan to pay online now I plan to send in a check I plan to pay at the retreat CommentsPlease include any medical or dietary needs.
